University*Community*Hospital,*Inc.* d/b/aFloridaHospital ...
University
?Community
?Hospital,
?Inc.
?
d/b/a
?Florida
?Hospital
?Carrollwood
?
2013
?Community
?Health
?Needs
?Assessment
?
?
Joe
?Johnson
?
?
President
?&
?CEO
?
?
?
?
?
Jan
?Baskin
?
Community
?Benefit
?Manager
?
?
EXECUTIVE
?SUMMARY
?
As
?the
?new
?health
?care
?dynamic
?continues
?to
?evolve,
?it
?becomes
?even
?more
?critically
?important
?for
?
Florida
?Hospital
?Carrollwood
?to
?know
?and
?understand
?the
?communities
?we
?serve.
?Our
?2013
?Community
?
Health
?Needs
?Assessment
?is
?timely
?and
?enables
?the
?hospital
?to
?exhibit
?its
?mission,
?¡°extending
?the
?
healing
?ministry
?of
?Christ¡±
?in
?more
?direct
?ways,
?working
?with
?the
?community
?to
?ensure
?they
?are
?
receiving
?hope
?and
?healing
?with
?dignity.
?
?
?
Florida
?Hospital
?Carrollwood
?(FHCW)),
?a
?hospital
?division
?of
?University
?Community
?Hospital,
?Inc.,
?is
?a
?
member
?of
?Adventist
?Health
?System.
?
?FHCW
?is
?part
?of
?a
?network
?of
?five
?Adventist
?Health
?System
?Florida
?
Hospitals
?in
?the
?Tampa
?Bay
?area.
?Each
?hospital
?in
?the
?network
?provides
?excellent
?healthcare
?for
?the
?
communities
?they
?serve.
?While
?this
?Community
?Health
?Needs
?Assessment
?(CHNA)
?report
?includes
?some
?
shared
?data
?with
?University
?Community
?Hospital,
?Inc.
?d/b/a
?Florida
?Hospital
?Tampa,
?it
?is
?focused
?
primarily
?on
?Florida
?Hospital
?Carrollwood.
?The
?close
?proximity
?of
?the
?two
?hospitals
?(nine
?miles
?)
?as
?well
?
as
?strong
?overlap
?in
?patient
?base
?enables
?both
?campuses
?to
?join
?together
?to
?benefit
?a
?landscape
?broader
?
than
?their
?respective
?service
?areas.
?
?The
?goals
?of
?the
?assessment
?include:
?
?
?
?
?
Assess
?the
?community¡¯s
?health
?needs
?and
?interests;
?
Identify
?resources
?and
?collaborate
?with
?community
?partners;
?
Establish
?a
?Community
?Health
?Needs
?Assessment
?Committee
?(CHNAC)
?to
?advise
?and
?assist
?with
?
the
?Community
?Health
?Needs
?Assessment
?and
?the
?successful
?implementation
?of
?our
?Community
?
Health
?Plan;
?and
?
?
Develop
?a
?community
?health
?plan
?based
?on
?the
?Hospital¡¯s
?prioritized
?community
?needs
?
assessment.
?
?
This
?assessment
?was
?based
?on
?primary
?data
?interviews
?and
?surveys,
?secondary
?data
?from
?local,
?regional
?
and
?national
?health-?©\related
?sources,
?and
?prevalence
?data
?that
?guided
?us
?in
?determining
?the
?health
?needs
?
of
?the
?communities
?we
?serve.
?Florida
?Hospital
?Carrollwood
?made
?a
?particular
?effort
?to
?define
?the
?needs
?
of
?low-?©\income,
?minority
?and
?underserved
?populations
?in
?our
?service
?area.
?
?We
?did
?this
?through
?the
?
members
?of
?our
?Community
?Health
?Needs
?Assessment
?(whose
?members
?are
?listed
?on
?page
?10
?and
?who
?
represented
?low-?©\income,
?minority
?and
?other
?vulnerable
?populations)
?and
?through
?stakeholder
?
interviews/meetings
?with
?a
?number
?of
?community
?stakeholders
?including
?the
?Judeo-?©\Christian
?Coalition
?
(a
?free
?clinic)
?and
?Egypt
?Lake
?Elementary
?school
?(which
?serves
?low-?©\income
?families).
?
Beginning
?in
?early
?2013,
?Florida
?Hospital
?Tampa
?and
?Florida
?Hospital
?Carrollwood
?came
?together
?to
?forge
?
and
?establish
?relationships
?with
?key
?public
?health,
?healthcare
?and
?community
?leaders.
?This
?group
?
1
?
?
formed
?the
?nucleus
?of
?what
?became
?our
?Community
?Health
?Needs
?Assessment
?Committee.
?They
?were
?
instrumental
?in
?providing
?us
?with
?information
?about
?the
?health
?issues
?of
?the
?community;
?they
?also
?gave
?
us
?access
?to
?others
?who
?we
?might
?not
?have
?been
?exposed
?to
?under
?other
?circumstances.
?The
?Committee
?
and
?hospital
?staff
?spent
?considerable
?time
?meeting,
?and
?collecting
?and
?analyzing
?data,
?in
?order
?to
?better
?
understand
?healthcare
?needs
?and
?barriers.
?Based
?on
?discussions
?and
?collaborative
?interactions,
?such
?as
?
creating
?inventories
?of
?needs
?resources
?throughout
?the
?community,
?the
?Committee
?collectively
?
determined
?that
?the
?top
?11
?needs
?for
?Florida
?Hospital
?Carrollwood
?are:
?
?
?
?
?
?
?
?
?
?
?
?
Respiratory
?
UTI
?
Gastrointestinal
?distress
?
Chest
?Pain
?
Lack
?of
?access
?to
?free/affordable
?healthcare
?
Lack
?of
?primary
?care
?physicians/lack
?of
?access
?to
?primary
?care
?
Lack
?of
?access
?to
?specialized
?care
?
Diabetes
?
Lack
?of
?Utilization
?
Mental
?Health
?
High
?Cholesterol/Hypertension.
?
?
The
?Community
?Health
?Needs
?Assessment
?Committee
?narrowed
?this
?list
?down
?to
?five
?top
?issues
?for
?
FHCW
?to
?address
?(the
?prioritization
?process
?is
?explained
?later
?in
?this
?document):
?
?
? Lack
?of
?Primary
?Care/Access
?to
?Primary
?Care
?
? Lack
?of
?Education
?
? High
?Cholesterol/Hypertension
?
? Diabetes
?
? Asthma/Respiratory
?Diseases.
?
?
Throughout
?our
?research
?and
?discussions,
?it
?became
?abundantly
?clear
?that
?our
?population,
?whether
?
insured
?or
?not,
?is
?underserved
?when
?it
?comes
?to
?the
?receipt
?of
?healthcare.
?There
?are
?many
?resources
?
available,
?but
?a
?good
?part
?of
?the
?population
?is
?either
?unaware
?of
?or
?has
?no
?way
?to
?access
?care.
?There
?is
?
no
?one
?¡°owner¡±
?of
?the
?provision
?of
?basic
?healthcare
?or
?a
?process
?in
?place
?for
?a
?logical
?pathway
?to
?
available
?resources.
?This
?results
?in
?a
?fragmented
?system
?that
?in
?turn
?results
?in
?the
?perpetuation
?of
?
untreated
?or
?undertreated
?chronic
?illness.
?
?
?
The
?FHCW
?Community
?Health
?Needs
?Assessment
?was
?approved
?by
?the
?Hospital
?Board
?on
?November
?14,
?
2013.
?
HOSPITAL
?DESCRIPTION
?
?
?
Florida
?Hospital
?Carrollwood
?is
?a
?120-?©\bed
?community
?hospital
?specializing
?in
?Spine
?and
?Orthopedic
?
Surgery,
?General
?Surgery,
?Cardiac
?Services,
?Neurological
?Services,
?General
?Medicine,
?Wound
?Healing,
?
ENT,
?Diabetes
?Management,
?Metabolic
?&
?Bariatric
?Weight
?Loss
?Surgery,
?as
?well
?as
?other
?services
?that
?
2
?
?
meet
?our
?mission
?of
?healing
?the
?mind,
?body
?and
?spirit.
?Our
?Knee
?and
?Metabolic
?&
?Bariatric
?Weight
?Loss
?
Surgeons
?are
?known
?for
?their
?revision
?work,
?correcting
?procedures
?done
?elsewhere.
?Spine
?Surgeons
?at
?
Florida
?Hospital
?Carrollwood
?perform
?specialized
?procedures
?not
?available
?elsewhere
?in
?the
?world.
?In
?
addition,
?Florida
?Hospital
?Carrollwood
?is
?the
?only
?hospital
?in
?the
?eight-?©\county
?Tampa
?Bay
?area
?to
?utilize
?
the
?Mazor
?Renaissance?
?Spine
?Robot.
?The
?Radiation
?Department
?provides
?the
?only
?nuclear
?camera
?with
?
low
?dose
?in
?the
?state
?of
?Florida
?and
?utilizes
?the
?first
?KineGraph
?VMA?
?available
?in
?the
?world
?for
?Spine.
?
Florida
?Hospital
?Carrollwood
?is
?a
?HIMSS
?Level
?7-?©\designated
?hospital,
?one
?of
?only
?2%
?in
?the
?United
?States.
?
Its
?new
?25
?all
?private
?room
?Surgical
?Care
?Unit
?is
?a
?model
?for
?the
?safe
?hospital
?of
?the
?future.
?Florida
?
Hospital
?Carrollwood
?has
?earned
?The
?Joint
?Commission¡¯s
?Gold
?Seal
?of
?Approval?
?Accreditation
?
in
?Advanced
?Inpatient
?Diabetes
?and
?Certification
?in
?Spine
?Surgery.
?Florida
?Hospital
?Carrollwood
?
holds
?the
?Surgical
?Review
?Corporation
?Center
?of
?Excellence
?designation
?for
?Metabolic
?and
?Bariatric
?
Surgery.
?The
?Hospital
?collaborates
?with
?its
?physicians
?and
?clinicians
?to
?provide
?wellness
?education
?for
?a
?
healthier
?community.
?
CHOOSING
?OUR
?COMMUNITY
?
By
?understanding
?the
?makeup
?and
?needs
?of
?the
?communities
?we
?serve,
?we
?can
?help
?to
?create
?and
?
engage
?in
?community
?coalitions,
?support
?their
?respective
?cultural
?environments
?and
?improve
?their
?
quality
?of
?life.
?
?
?
Florida
?Hospital
?Carrollwood
?has
?seven
?core
?service
?areas
?(CSA)-?©\-?©\zip
?codes
?that
?represent
?at
?least
?75%
?of
?
patient
?visits.
?The
?zip
?codes
?are
?33607
?(Tampa),
?33614
?(Egypt
?Lake-?©\Leto),
?33618
?
(Carrollwood/Northdale/Lake
?Magdalene),
?33624
?(Northdale/Carrollwood),
?33625
?(Citrus
?Park),
?33626
?
(Westchase)
?and
?33634
?(Town
?¡®n
?Country).
?The
?hospital
?is
?located
?in
?33614.
?
?
The
?CSA
?represents
?a
?microcosm
?of
?Hillsborough
?County.
?In
?2012,
?the
?population
?in
?Hillsborough
?County
?
was
?1,277,746.
?The
?total
?population
?in
?the
?CSA
?was
?approximately
?212,018.
?
?
?
?
?
3
?
?
CORE
?SERVICE
?AREA-?©\FLORIDA
?HOSPITAL
?CARROLLWOOD
?
?
?
?
DEFINED
?COMMUNITY
?
Florida
?Hospital
?Carrollwood
?is
?located
?in
?unincorporated
?Hillsborough
?County,
?one
?of
?eight
?counties
?in
?
the
?Tampa
?Bay
?area
?and
?the
?third
?largest
?in
?the
?State.
?At
?1.26
?million
?square
?miles,
?Hillsborough
?County
?
is
?a
?diverse
?community
?with
?diverse
?healthcare
?needs.
?Historically
?a
?Spanish/German/Italian
?community,
?
it
?has
?welcomed
?substantial
?groups
?of
?Asians
?and
?African
?Americans
?to
?help
?enrich
?an
?already
?robust
?
culture
?and
?business
?climate.
?Approximately
?13
?percent
?of
?Hillsborough
?County
?residents
?live
?below
?the
?
federal
?poverty
?level
?and
?approximately
?65%
?of
?the
?population
?has
?a
?high
?school
?diploma
?or
?higher.
?
74.2%
?of
?the
?county¡¯s
?residents
?have
?health
?insurance.
?Again,
?this
?community
?health
?needs
?assessment
?
was
?conducted
?in
?the
?seven
?core
?zip
?codes
?that
?contribute
?to
?75%
?of
?our
?patient
?visits.
?
?
Using
?the
?most
?recently
?available
?data,
?the
?overall
?population
?in
?2012
?was
?1,277,746,
?of
?which
?females
?
comprised
?51.3%.
?The
?median
?income
?in
?our
?CSA,
?per
?capita,
?was
?$49,536
?(2010);
?14.2%
?of
?the
?
population
?lives
?below
?the
?poverty
?level,
?higher
?than
?the
?Hillsborough
?County
?figure
?of
?13%.
?This
?is
?
centered
?in
?the
?33607,
?33614
?and
?33634
?zip
?codes.
?The
?High
?school
?graduate
?rate
?is
?79.1%,
?higher
?than
?
the
?County
?rate;
?26%
?of
?the
?population
?are
?college
?graduates.
?
?
On
?Race/Ethnic
?breakdowns:
?75.8%
?are
?Caucasian/White;
?84.7%
?have
?some
?type
?of
?healthcare.
?Among
?
the
?17.6%
?Black
?Americans,
?80.4%
?have
?some
?type
?of
?healthcare.
?In
?addition,
?among
?3.6%
?Asians,
?11%
?
have
?some
?type
?of
?healthcare.
?Age
?breakout
?is
?as
?follows:
?18-?©\34=6%;
?35-?©\54=28.6%;
?55-?©\64=10.5%;
?and,
?
65+=11.9%.
?Of
?those
?with
?healthcare,
?76.6%
?are
?female.
?(Source:
?Health
?Council
?of
?West
?Central
?Florida
?2011
?
Health
?Profile.)
?
4
?
?
The
?CSA
?is
?made
?up
?of
?19
?distinct
?communities,
?each
?with
?its
?own
?racial,
?socioeconomic
?and
?housing
?
conditions.
?The
?service
?area
?for
?Florida
?Hospital
?Carrollwood
?is,
?in
?general,
?more
?affluent
?than
?much
?of
?
the
?Tampa/Carrollwood
?area.
?
?Zip
?codes
?33607
?and
?33614
?are
?the
?exceptions,
?showing
?lower
?household
?
and
?per
?capita
?incomes
?as
?well
?as
?higher
?uninsured
?rates.
?
?
?
Zip
?code
?33607
?has
?the
?highest
?percentage
?of
?uninsured
?residents
?and
?the
?lowest
?median
?household
?
income
?(MHI).
?Zip
?codes
?33607
?66614,
?33625
?and
?33634
?have
?the
?lowest
?per
?capita
?income
?(PCI)
?levels.
?
The
?second
?chart
?below
?shows
?that
?zip
?code
?33614
?has
?the
?highest
?numbers
?of
?Hispanic
?residents.
?
?
33607
?is
?made
?up
?of
?13
?distinct
?neighborhoods.
?Eleven
?have
?a
?high
?number
?of
?residents
?who
?live
?below
?
the
?poverty
?line,
?ranging
?from
?10%-?©\41%.
?
?Two
?are
?within
?the
?city
?limits
?of
?Tampa;
?the
?11
?others
?are
?in
?
the
?unincorporated
?County.
?
In
?33618
?and
?33618/33624,
?8.5%
?live
?below
?the
?poverty
?line.
?Median
?family
?income
?was
?$60,824
?in
?
2011.
?33624
?has
?a
?median
?family
?income
?of
?$60,596
?and
?5%
?live
?below
?the
?poverty
?line.
?A
?portion
?of
?
33624
?is
?split
?with
?33618.
?
33614,
?where
?Florida
?Hospital
?Carrollwood
?is
?located,
?has
?a
?median
?family
?income
?of
?$36,864.
?10.2%
?live
?
below
?50%
?of
?the
?poverty
?line.
?Unlike
?the
?other
?zip
?codes,
?54.9%
?in
?33614
?speak
?Spanish
?as
?the
?primary
?
language
?in
?the
?home.
?
33625
?has
?a
?median
?family
?income
?of
?$61,709
?and
?7.9%
?live
?below
?the
?poverty
?line.
?
33634
?has
?a
?median
?family
?income
?of
?$45,517
?and
?6.9%
?live
?below
?the
?poverty
?line.
?
?
33626
?is
?one
?of
?the
?wealthiest
?areas
?in
?the
?County
?and
?has
?a
?median
?family
?income
?of
?$94,690.
?3.9%
?live
?
below
?the
?poverty
?level.
?
?
?
?
?
?Source:
?city-?©\
?
?
?
Zip
?Code
?
Population
?
Uninsured
?
MHI
?
PCI
?
33607
?
23,541
?
10,127
?
38,064
?
25,217
?
33614
?
46,449
?
13,896
?
42,747
?
22,078
?
33618
?
25,570
?
4,199
?
65,555
?
40,269
?
33624
?
37,457
?
4,326
?
68,351
?
32,881
?
33625
?
24,645
?
2,566
?
71,368
?
27,813?
?
33626
?
21,557
?
1,529
?
99,353
?
46,475
?
33634
?
20,225
?
3,612
?
56,588
?
25,761
?
Hillsborough
?County
?
1,229,226
?
273,869
?
53,425
?
29,654
?
2011
?data:
?City-?©\,
?CLR
?Search,
?2010
?U.S.
?Census
?Bureau,
?Market
?Planner
?Plus
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